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Donald Trump and Affordable Care

Posted by Tim Teague on Fri, Jun 03, 2016 @ 03:37 PM

Donald Trump and Affordable Care Act

 

As Donald Trump moves closer to becoming the Republican’s presidential candidate in the general election, there are new ramblings of what he would do to Obamacare if elected. Many arguments have been made against the continuance of this growing governmental entity, but odds are the ACA has already “left the station”, never to be diminished or ended. The last battles are likely to be held in state legislatures where expansion of Medicaid and State sponsored exchanges are still in flux. A particularly interesting outcome will be the Commonwealth of Kentucky where a recently elected Republican governor has vowed to dismantle and discontinue a well-entrenched statewide exchange that had been operating for years.

 

If history is to be repeated, the Affordable Care Act is here to stay, and massive changes to its structure are very doubtful. Let’s take a quick look at what was said in the 60’s when Medicare, a similarly tagged national health plan was proposed.

 

Ronald Reagan: “[I]f you don’t [stop Medicare] and I don’t do it, one of these days you and I are going to spend our sunset years telling our children and our children’s children what it once was like in America when men were free.” [1961]

George H.W. Bush: Described Medicare in 1964 as “socialized medicine.” [1964]

Barry Goldwater: “Having given our pensioners their medical care in kind, why not food baskets, why not public housing accommodations, why not vacation resorts, why not a ration of cigarettes for those who smoke and of beer for those who drink.” [1964]

Bob Dole: In 1996, while running for the Presidency, Dole openly bragged that he was one of 12 House members who voted against creating Medicare in 1965. “I was there, fighting the fight, voting against Medicare . . . because we knew it wouldn’t work in 1965.” [1965]

 

If these arguments sound familiar, so will the likely outcome of the more recent protests against the ACA. In a period when both major parties are struggling to figure out who their constituencies really are, odds are the Affordable Care Act will just keep lumbering along.

 

Good news for those seeing increased healthcare dollars expanding their business, but not necessarily for those desiring less government intervention.

What are you writing about today?

Tags: Affordable Care Act, Healthcare, health

Float Pools- Are they working the way you expect?

Posted by Tim Teague on Fri, Dec 11, 2015 @ 10:51 AM

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If your float pool or staffing bank is not providing the results you need, you are not alone. One of the great challenges in the acute care setting is the ability to meet the challenge of daily staffing expectations. Two of the major drivers in this challenge can be the random “call-offs” in an already short-staffed cost center, coupled with a census that is becoming more and more volatile.

From a budgetary perspective, what I call “just-in-time” decisions for staffing don’t seem too onerous on that day, but as days turn to weeks, and weeks to months, these daily “quick fixes” can grow out of control.

Just as I tell my kids to scrape the last bit of peanut butter from the jar before throwing it away, too many staffing departments are “buying” new jars before they have truly utilized what is available.

The solution to maximizing a float pool is most often a technical solution. There are a few basic questions that can determine if the float pool is really being maximized.

During the development of the pool, were all affiliated offices, facilities, and units informed of the intent?

  • Are there any “crossover” competencies from participants that might be of use? (Maybe an L&D nurse has had come ED experience.)
  • Is there a true “search and find” function that quickly uncovers all possible matches that include-
    1. Availability (granular down to the hours available)
    2. Matching competencies
    3. Current credentials
    4. Location (within established distances)
    5. Prior experience and amount of time worked (if any) in the requesting unit.
  • Is there a true “interactive” system of delivery and response to needs that incudes text message response to accept or reject?

We find that those facilities that are answering “yes” to these questions are truly “getting every last bit of peanut butter” from the jar and are maximizing available resources while minimizing cost.

Tags: Healthcare, medical staffing, VMS, hospital float pool,, staffing

Healthcare Staffing a Great Place to Be

Posted by Tim Teague on Thu, Aug 13, 2015 @ 09:00 AM

The growth or contraction of the healthcare staffing industry has typically followed the direction of the economy.13 Since hospital census typically takes a dive when unemployment spikes, the need for additional labor softens.

However, the recent rulings by the Supreme Court that essentially left the Affordable Care Act intact and will provide a buffer for such economic downturns. The government subsidized insurance plans will continue to generate revenue for hospitals despite dips in the economy.

A quick look at the macro picture of Affordable Care Act outcomes can be seen in the adjusted revenue projections of insurance giant United Health Group UNH and HCA Holdings HCA. HCA increased its revenue projections for 2015 by nearly a billion dollars, and United Health increased its outlook by $2 billion dollars.

Considering these adjustments came prior to the most recent ruling by the Supreme Court that effectively cleared the way for state expansion of Medicaid, these numbers are likely to rise.

It is likely that the continued subsidization of insurance would be politically untouchable in the years to come. Whether friend or foe of the legislation, it portends positively for the healthcare staffing industry.

Tags: Healthcare, medical staffing, ACA

BlueSky's Global Cash Card Integration

Posted by Doug Word on Tue, Aug 27, 2013 @ 03:16 PM

GCCThese are exciting times here at BlueSky. At this year's Healthcare Staffing Summit in Chicago we will unveil a long-awaited feature: an integration with Global Cash Card! Be sure to stop by and visit us in Booth No. 101 for a live demo! We are thrilled to share this seamless enhancement with our loyal customers.

What is Global Cash Card?
Global Cash Card is a paycard program designed to make payroll and invoicing much more convenient for your company and employees. It essentially takes the place of a paper check.

Global Cash Card is ideal for daily pay, because it loads funds electronically onto the card, effectively bypassing paperwork and paper checks as well as their costs. It also works great for travel assignments, because the caregiver will no longer have to visit his or her branch office to pick up a check.

Find out more here: GlobalCashCard.com.

How will it work?
The employee will have his or her compensation loaded onto a paycard, which looks like a standard credit, debit or gift card. Equipped with top-notch security, the card funds are FDIC insured and 100 percent paperless. The card will get funded after you run payroll, and the caregiver's net pay will load.

When will it be ready?
BlueSky will unveil this feature at the 2013 Healthcare Staffing Summit in Chicago. If you haven't signed up yet be sure to do so here. You don't want to miss this!

Ready to experience positive change with BlueSky Medical Staffing Software? Our goal is to save you time and money by housing all of your credentialing, scheduling and caregiver documentation in one easy-to-access location. You can count on our experts to provide answers to all of your burning questions. Call us at 615-349-1985 to schedule a demo, or email us at support@bluesky.com.

Tags: Healthcare, Global Cash Card, BlueSky MSS, Healthcare Staffing, Medical Staffing Software

The Brave New World of Healthcare Staffing

Posted by Doug Word on Thu, Aug 08, 2013 @ 08:54 AM

describe the imageEntering the unique world of healthcare staffing is challenging at best and overwhelming at worst, but it can also prove very rewarding. In its simplest form, the industry involves matching a qualified, credentialed nurse to a unit within a hospital, but there is so much more that goes into making that happen. One thing is for sure: it is not for the faint of heart.

My perspective as a new employee with BlueSky might differ from the experiences of others as they enter the medical staffing industry from the agency side. However, for me, there were several items that took time to wrap my mind around. In retrospect, following the steps below can make a big difference:

1. Accept it, the terminology is daunting. From per diem and travel nursing to locum tenens staffing, the verbiage of the industry takes time to learn if familiarity is lacking. Don't fret if you happen upon a word or phrase that you don't immediately comprehend. It will occur early and often. Allow yourself time to Google around for the answers to questions you come across.

2. Ask a lot of questions. When starting from square one like I did, there is no quicker way to gain an understanding of how things work than asking questions of co-workers that have made it this far in the industry. There is a reason they are still standing. Receiving a high-level overview early on is also recommended even if it seems like information overload. Your retention rate might suffer, but things will start to make sense as you go along. Don't be shy: you can only learn by asking.

3. Take good notes. Not only will good note-taking help you retain information, but it also gives you a strong reference point for revisiting topics you had difficulty comprehending the first time around.

4. Try to grasp the big picture. In healthcare staffing it is so easy to get bogged down in the weeds of how each facet of the industry functions. Keeping your mind focused on the big picture is key, however. If the operation of the entire system starts to make sense then the smaller components will come into clearer focus as well.

From a staffing agency's perspective, finding a way to manage all of the information you have to manage will top the priority list. Once you build relationships, establish contracts between facilities and locate caregivers, you will need a one-stop shop out of which to operate and manage your data.

From credentialing to scheduling to licensing and beyond, placing a caregiver into a short- or long-term assignment can prove challenging.

Thankfully, there is an answer with BlueSky Medical Staffing Software.

Tags: BlueSky Medical Staffing Software, healthcare recruiting and staffing software, healthcare industry, Healthcare, healthcare staffing software, healthcare staffing agency, Staffing Agency, Staffing Industry, staffing software, healthcare recruiting, medical staffing, per diem medical staffing, Travel Nurse Staffing, web-based staffing software

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